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Rhinology

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https://www.readbyqxmd.com/read/28064338/-unknown-title
#1
V J Lund, Y Darby, J Rimmer, M Amin, S Husain
INTRODUCTION: Hereditary haemorrhagic telangiectasia (HHT) is an autosomal dominant vascular disease characterized by recurrent epistaxis, mucocutaneous telangiectasia and visceral arteriovenous malformations. The nosebleeds can be life-threatening and in these circumstances, radical treatment is required. METHODS: Since 1994, closure of the nose has been undertaken to prevent severe nasal bleeding in patients meeting specific selection criteria. Outcome data collected on this cohort pre- and post-operatively is available for analysis...
January 8, 2017: Rhinology
https://www.readbyqxmd.com/read/28060384/effects-of-functional-endoscopic-sinus-surgery-on-the-acoustics-of-the-sinonasal-tract
#2
M Havel, S Becker, M Schuster, T Johnson, A Maier, J Sundberg
BACKGROUND: Nasal and paranasal cavities are supposed to contribute substantially to the vocal tract resonator properties. However, their acoustical effects as well as the effects of sinus surgery on the voice remain unclear. In this work we investigate resonance phenomena of paranasal sinuses prior to and after various rhinosurgical procedures in cadaveric human sinonasal tracts and corresponding 3D casts. METHODOLOGY: Nasal and paranasal cavities of formalin-preserved cadavers and corresponding 3D replicas were excited by sine-tone sweeps from an earphone placed in the epipharynx...
January 6, 2017: Rhinology
https://www.readbyqxmd.com/read/28060383/clinimetric-properties-of-the-glasgow-health-status-inventory-glasgow-benefit-inventory-peak-nasal-inspiratory-flow-and-4-phase-rhinomanometry-in-adults-with-nasal-obstruction
#3
M M H T van Egmond, N van Heerbeek, E L M Ter Haar, M M Rovers
BACKGROUND: The validity of many measurement instruments frequently used in rhinology is unknown. This study describes clinimetric properties of well-known subjective and objective outcomes, i.e., the Glasgow Health Status Inventory, Glasgow Benefit Inventory, Peak Nasal Inspiratory Flow, and 4-Phase Rhinomanometry, in adults with nasal obstruction. METHODOLOGY: Construct validity and responsiveness were determined in 111 patients. Inter-rater and intra-rater reliability were analysed in 30 patients...
January 6, 2017: Rhinology
https://www.readbyqxmd.com/read/28040824/effects-of-olfactory-training-a-meta-analysis
#4
A Sorokowska, E Drechsler, M Karwowski, T Hummel
The neural plasticity of the olfactory system offers possibilities of treatment in terms of stimulation of the sense of smell, and different studies have suggested effectiveness of smell training, i.e., daily exposition to certain odors. To obtain reliable and precise estimates of overall treatment benefit on the olfactory function, we meta-analyzed the effects of smell training reported in 13 previous studies. We analyzed the smell training effectiveness across three different olfactory abilities, smell identification, discrimination and threshold for odor detection...
January 1, 2017: Rhinology
https://www.readbyqxmd.com/read/28029166/influence-of-cooling-face-masks-on-nasal-air-conditioning-and-nasal-geometry
#5
J Lindemann, T Hoffmann, A Koehl, E M Walz, F Sommer
INTRODUCTION: Nasal geometries and temperature of the nasal mucosa are the primary factors affecting nasal air conditioning. Data on intranasal air conditioning after provoking the trigeminal nerve with a cold stimulus simulating the effects of an arctic condition is still missing. The objective was to investigate the influence of skin cooling face masks on nasal air conditioning, mucosal temperature and nasal geometry. METHODS: Standardized in vivo measurements of intranasal air temperature, humidity and mucosal temperature were performed in 55 healthy subjects at defined detection sites before and after wearing a cooling face mask...
December 28, 2016: Rhinology
https://www.readbyqxmd.com/read/28026838/predictors-of-unanticipated-admission-within-30-days-of-outpatient-sinonasal-surgery
#6
I Gengler, L Carpentier, X Pasquesoone, D Chevalier, G Mortuaire
OBJECTIVES: To identify predictive factors of readmission after day-case rhinologic surgery. METHODS: A 2-year retrospective chart review of patients scheduled for ambulatory sinonasal surgery in a tertiary medical center was conducted. The operating room and the anesthetic files were screened to identify demographic data, types of procedure, comorbidities and post-operative complications. RESULTS: From January 2014 to January 2016, 924 outpatient sinonasal procedures were identified...
December 27, 2016: Rhinology
https://www.readbyqxmd.com/read/28026837/trigeminal-sensitivity-in-chronic-rhinosinusitis-topographical-di-erences-and-the-e-ect-of-surgery
#7
S C Poletti, M Cuevas, S Weile, T Hummel
INTRODUCTION: Little is known on endonasal trigeminal sensitivity in patients with chronic rhinosinusitis with nasal polyps (CRSwNP). The aim of our study was to investigate changes in trigeminal sensitivity in patients with CRSwNP and the effect of functional endoscopic sinus surgery (FESS) on trigeminal perception. METHODS: A prospective study was performed to investigate the trigeminal sensitivity at three different locations within the nose (anterior septum, anterior lateral wall, middle turbinate) using electrical stimuli...
December 27, 2016: Rhinology
https://www.readbyqxmd.com/read/28025987/toll-like-receptor-activation-by-sino-nasal-mucus-in-chronic-rhinosinusitis
#8
K Biswas, A Chang, M Hoggard, F J Radcliff, Y Jiang, M W Taylor, R Darveau, R G Douglas
BACKGROUND: The sino-nasal disease chronic rhinosinusitis (CRS) is primarily an inflammatory condition that manifests in several ways. However, the aetiology of this complex disease is poorly understood. The aim of this study was to explore the association between toll-like receptor (TLR) activation, host immune response and sino-nasal mucus in healthy and diseased patients. METHODS: The activation of TLR2/1 and TLR4 by sino-nasal mucus from 26 CRS patients and 10 healthy controls was measured...
December 27, 2016: Rhinology
https://www.readbyqxmd.com/read/28025986/responsiveness-and-reliability-of-the-sinus-control-test-in-chronic-rhinosinusitis
#9
P Kohli, Z M Soler, K A Storck, A Shahangian, S M Banglawala, R J Schlosser
BACKGROUND: The Sinus Control Test (SCT) is a patient-reported questionnaire designed to help physicians identify sub-optimally controlled chronic rhinosinusitis (CRS). This study measures responsiveness to surgery and reliability of the SCT. METHODOLOGY: Adults meeting diagnostic criteria for CRS were recruited from rhinology clinics at a tertiary academic institution. To measure responsiveness, the SCT was administered at baseline and at least 3 months after surgery to 62 CRS patients...
December 27, 2016: Rhinology
https://www.readbyqxmd.com/read/28025985/quality-of-life-after-primary-septorhinoplasty-in-deviated-and-non-deviated-nose-measured-with-roe-froi-17-and-sf-36
#10
O C Bulut, F Wallner, R Hohenberger, P K Plinkert, I Baumann
BACKGROUND: Quality of life measurements are gaining in importance. The present study was conducted with the aim to compare patient satisfaction after septorhinoplasty according to their preoperative nasal deformity. METHODS: The patients completed two disease-specific questionnaires before their surgery: the Functional Rhinoplasty Outcome Inventory (FROI-17), the Rhinoplasty Outcome Evaluation (ROE) and as a general instrument, the Short Form 36 Health Survey (SF-36)...
December 27, 2016: Rhinology
https://www.readbyqxmd.com/read/28019644/allergic-rhinitis-severity-can-be-assessed-using-a-visual-analogue-scale-in-mild-moderate-and-severe
#11
A Del Cuvillo, V Santos, J Montoro, J Bartra, I Davila, M Ferrer, I Jauregui, J Sastre, J Mullol, A Valero
BACKGROUND: Allergic rhinitis is a global healthcare problem due to its high prevalence, impact on individuals and socioeconomic burden for the nations. Allergic rhinitis severity evaluation is the key to a correct treatment, prevention of comorbidities and improving the quality of life of patients. This evaluation should be made with a simple, easy, fast but accurate and reliable methodology, both in a primary care and specialist setting. The visual analogue scale (VAS) meets all requirements to be the ideal tool to assess allergic rhinitis severity and has already been validated by using a single cut-off point, but this classification in two degrees of severity suffer from not allocating the patients uniformly and from giving a blind interval to classify the patients when the score is between 5 to 6 cm...
December 26, 2016: Rhinology
https://www.readbyqxmd.com/read/28019643/sleep-quality-improves-with-endoscopic-sinus-surgery-in-patients-with-chronic-rhinosinusitis-and-nasal-polyposis
#12
M Värendh, A Johannisson, H Hrubros-Strøm, M Andersson
BACKGROUND: Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP) is a chronic disease that has a major impact on generic and disease-specific quality of life. Little is known about the influence of CRSwNP on sleep and what effect surgery for CRSwNP has on sleep quality. The aim of the study was to investigate sleep quality in patients with CRSwNP before and after endoscopic surgery. METHODOLOGY: Forty-two patients filled out four validated sleep questionnaires and one sino/nasal, disease specific quality of life questionnaire before surgery and three months later...
December 26, 2016: Rhinology
https://www.readbyqxmd.com/read/28013326/chronic-rhinosinusitis-new-understanding-of-specific-and-general-quality-of-life-scores
#13
A Slovick, M Cornet, P Surda, P V Tomazic
Our goal in treating chronic rhinosinusitis (CRS) is to reduce sinonasal symptoms and improve quality of life (QoL). In patients with CRS, sinonasal symptoms have a significant impact on QoL. Various validated measures exist to quantify QoL such as the 22-item Sinonasal Outcomes Test (SNOT- 22) and MSNOT-20 Young Persons Questionnaire (MSYPQ) specific to CRS, while others measure general QoL, such as the EuroQol 5-Dimensional general health-related QoL survey (EQ5D).
December 1, 2016: Rhinology
https://www.readbyqxmd.com/read/27665614/symptoms-of-chronic-rhinosinusitis-differentially-impact-general-health-related-quality-of-life
#14
L P Hoehle, K M Phillips, R W Bergmark, D S Caradonna, S T Gray, A R Sedaghat
BACKGROUND: The degree to which different sinonasal symptoms contribute to the overall quality of life (QOL) detriment in chronic rhinosinusitis (CRS) patients remains unknown. In this study we sought to characterize the effect of different CRS symptoms on the general health-related QOL in patients. METHODOLOGY: We performed a prospective cross-sectional study of 131 adult patients with CRS. Sinonasal symptoms were evaluated using the 22-item Sinonasal Outcomes Test (SNOT-22) and general health-related QOL was evaluated using the EuroQol 5-Dimensional general health-related QOL survey (EQ5D) and visual analog scale (EQ5D-VAS)...
December 1, 2016: Rhinology
https://www.readbyqxmd.com/read/27592074/managing-nasal-valve-compromise-patients-with-nasal-dilators-objective-vs-subjective-parameters
#15
G Lekakis, E Dekimpe, B Steelant, P W Hellings
INTRODUCTION: Patients suffering from nasal obstruction due to nasal valve compromise may benefit from a nasal dilator. Several devices for widening of the external/internal nasal valve region can be applied endonasally (Airmax, Nasanita, Nozovent) or externally (Breathe Right). MATERIALS AND METHODS: 100 patients suffering from nasal obstruction due to external or internal nasal valve compromise were involved in this study. All patients were evaluated for nasal obstruction with visual analogue scores (VAS) and peak nasal inspiratory flow (PNIF) measurements before and after the application of 4 nasal dilators...
December 1, 2016: Rhinology
https://www.readbyqxmd.com/read/27591949/a-comparison-of-minimal-cross-sectional-areas-nasal-volumes-and-peak-nasal-inspiratory-flow-between-patients-with-obstructive-sleep-apnea-and-healthy-controls
#16
M H S Moxness, V Bugten, W M Thorstensen, S Nordgård, G Bruskeland
BACKGROUND: The differences in nasal geometry and function between OSA patients and healthy individuals are not known. Our aim was to evaluate the differences in nasal geometry and function using acoustic rhinometry (AR) and peak nasal inspiratory flow (PNIF) between an OSA population and healthy controls. METHODOLOGY: The study was designed as a prospective case-control study. Ninety-three OSA patients and 92 controls were enrolled from 2010 to 2015. The minimal cross-sectional area (MCA) and the nasal cavity volume (NCV) in two parts of the nose (MCA0-3/NCV0-3 and MCA3-5...
December 1, 2016: Rhinology
https://www.readbyqxmd.com/read/27591836/a-systematic-review-of-anti-thrombotic-therapy-in-epistaxis
#17
K M Musgrave, J Powell
There is limited guidance available to clinicians regarding the management of antithrombotic therapy during epistaxis, whilst there has been an increase in the use of anticoagulation and antiplatelet therapy. In addition, the introduction of direct oral anticoagulants (DOACs), such as dabigatran and rivaroxaban, over the last decade has significantly increased the complexity of managing the anticoagulated epistaxis patient. We undertook a systemic literature review investigating potential management strategies for each class of anti-thrombotic therapy during epistaxis...
December 1, 2016: Rhinology
https://www.readbyqxmd.com/read/27556896/saline-irrigations-following-sinus-surgery-a-controlled-single-blinded-randomized-trial
#18
A I Giotakis, E M Karow, M O Scheithauer, R Weber, H Riechelmann
BACKGROUND: Chronic rhinosinusitis (CRS) is a common health problem. If medical treatment fails, endonasal sinus surgery is a valuable treatment option. A thorough postsurgical treatment is needed including, among others, nasal saline irrigations (NSI). In this prospective, controlled, single blinded, randomized trial, we aimed to evaluate efficacy of nasal saline irrigations following endonasal sinus surgery in CRS-patients with nasal polyps. METHODOLOGY: We examined patient's nasal symptoms, general quality of life and postoperative condition of the mucosa...
December 1, 2016: Rhinology
https://www.readbyqxmd.com/read/27421303/olfactory-function-in-patients-with-hyposmia-compared-to-healthy-subjects-an-fmri-study
#19
R Pellegrino, A Hähner, V Bojanowski, C Hummel, J Gerber, T Hummel
BACKGROUND: Individuals with hyposmia, or the partial loss of smell, represent a large sector (15 %) of the population that is likely to grow with the current aging population; however, our understanding to how hyposmics centrally process odors is still not clear. One popular non-invasive tool for in vivo imaging of biological activity among human brains has been function magnetic resonance imaging (fMRI) which uses blood-oxygenation level dependent (BOLD) signal as an indirect measurement...
December 1, 2016: Rhinology
https://www.readbyqxmd.com/read/27395040/prevalence-and-risk-factors-of-chronic-rhinosinusitis-in-south-korea-according-to-diagnostic-criteria
#20
J H Kim, C Cho, E J Lee, Y S Suh, B I Choi, K S Kim
BACKGROUND: We aimed to compare the prevalence and risk factors of chronic rhinosinusitis (CRS) using two different diagnostic criteria with the same statistical data from the Korean National Health and Nutrition Examination Survey in 2009. METHODS: Symptom-based CRS was defined as CRS diagnosed by questionnaires related to nasal symptoms. Endoscopy-based CRS was defined based on endoscopic findings and nasal symptoms of symptom-based CRS. RESULTS: The overall prevalence of CRS based on the different diagnostic criteria was as follows: symptom-based CRS was 10...
December 1, 2016: Rhinology
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